ELIZABETH ROSE KACZMAREK


Address: 108 Arabian Dr, Victoria, TX 77904-3248
Phone: 3615820528

ELIZABETH ROSE KACZMAREK (NPI# 1730237025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730237025
Entity Type Individual
Full Name ELIZABETH ROSE KACZMAREK
Credential PHARMD
Practice Address 108 Arabian Dr
Victoria
TX 77904-3248
Practice Telephone 3615820528
Practice Fax Number 8133290421
Mailing Telephone 3615820528
Mailing Fax Number 8133290421
Enumeration Date 2007-01-05
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 1835N1003X Pharmacist
Specialization: Nutrition Support
38184 TX Pharmacy Service Providers
X 1835P1200X Pharmacist
Specialization: Pharmacotherapy
38184 TX Pharmacy Service Providers
X 1835N1003X Pharmacist
Specialization: Nutrition Support
IL Pharmacy Service Providers
X 1835P1200X Pharmacist
Specialization: Pharmacotherapy
IL Pharmacy Service Providers

Office Location

Street Address 108 ARABIAN DR
City VICTORIA
State TX
Zip Code 77904-3248

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Taxonomy Information

Taxonomy Code 1835N1003X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Nutrition Support

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720543754 Donna Bellia Pharmacist 211 E Creekview Dr, Fredericksburg, TX 78624-5434 2019-02-04
1457844656 Jean Ann Graham Pharmacist 2503 Saratoga Dr, Austin, TX 78733-1240 2018-06-12
1295274397 People's Wellness Center Pharmacist 13860 N Us Highway 183 Ste C, Austin, TX 78750-1203 2017-02-22
1881080109 Patrece Jones Pharmacist 18101 Point Lookout Dr, 343, Houston, TX 77058-3569 2015-04-14
1659771194 Rick Ferris Pharmacist 115 Tower Rd, Valley View, TX 76272-7668 2014-09-03
1447509625 Barbara Ann Campbell Pharmacist 13860 Highway 183 North Suite C, Austin, TX 78750 2012-09-05
1457616708 David Christian Morcom Pharmacist 16306 Shadybank Dr, Dallas, TX 75248-2957 2012-07-11
1881806321 Todd Wayne Canada Pharmacist 1515 Holcombe Boulevard, Unit 377, Division of Pharmacy, Houston, TX 77030-4009 2007-05-04
1720129851 E. J. Stein Pharmacist 2004 W State Highway 29, Burnet, TX 78611-2353 2007-02-10
1881762300 Luis Omar Valdivieso Jr. Pharmacist 2100 Berqguire Rd Ste No. 1, San Antonio, TX 78236 2006-12-01
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Competitor

Search similar providers

City VICTORIA
Zip Code 77904

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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